[Bochdalek's hernia in an adult with stomach volvulus and extrapulmonary sequestration]. / Hernia de Bochdalek del adulto con volvulación gástrica y secuestro extrapulmonar.

We report a case of Bochdalek's hernia with volvulus of the stomach and extrapulmonary sequestration in an adult. A 27-year-old woman presented acute respiratory failure, pain in the left side of the chest and recurrent vomiting of sudden onset. Upon examination there was pain in the left hypochondrium that was not tolerated in decubitus position. A chest film showed an "arch" at the base on the left side and an upper gastrointestinal series revealed volvulus of the stomach. After a left thoracotomy, the stomach, spleen and greater omentum were found displaced into the thoracic cavity. After the viscera were confined to the abdomen, the hernia was repaired and the pulmonary sequestration was removed. Two years later, the patient was asymptomatic and a chest film was normal.

[Bronchoesophageal fistula and broncholithiasis]. / Fístula broncoesofágica y broncolitiasis.

Bronchoesophageal fistulas (BEF) in an adult, whether acquired or congenital, are uncommon but bronchoesophageal perforation secondary to broncholithiasis caused by calcified mediastinal adenopathy and leading to the formation of a fistulous tract is extremely rare. We present a case of acquired BEF in a 57-years-old women who presented cough with expectoration of broncholiths, hemoptysis and cough after swallowing liquid or solid hemoptysis and cough after swallowing liquid or solid foods. The chest film and computed tomographic scan showed calcified mediastinal adenopathy. Endoscopic examination of the esophagus revealed no mucosal abnormality. A bronchial esophageal fistula was identified at the level of the 1/3 midesophagus just below the carina in the esophagogram. The bronchoscopy showed a polypoid area located in the medial side of the right main bronchus. There was no evidence of neoplasm. The patient underwent excision of fistula and interposition of pleural bundle after completing a right posterolateral thoracotomy. The postoperative course was uneventful and the patient has been doing well on follow-up.

[Horner's syndrome associated with a solitary bone plasmacytoma of the first rib]. / Síndrome de Horner asociado a plasmocitoma óseo solitario del primer arco costal.

A case of solitary plasmacytoma originated in the left first rib in a 45-year-male is presented. The initial symptomatology was a Horner's syndrome. A chest X-ray, gammagraphy, TAC and arteriography showed a tumor shadow in the left chest wall; no evidence of plasmacytoma after clinical study found use where. The treatment was surgical excision and postsurgical radiotherapy. The histological investigation revealed a plasmacytoma of the rib. The patient have been followed for two years. The patient is asymptomatic, without evidence of local recurrence and systemic spread of the disease two years after treatment.

[Mediastinal bronchogenic cyst in the carina of an asymptomatic patient]. / Quiste broncogénico mediastínico en carina de paciente asintomático.

A patient of 30 year-old male with a bronchogenic cyst in the mediastinum detected as an incidental finding on a routine chest X-ray is presented. Laboratory examinations did not reveal any significant abnormalities. Chest X-ray and TAC revealed the mass lesion with smooth margen, low density and homogeneous at the middle mediastinum. Treatment consisted in the resection of the cyst by left thoracic approach. Histologically, the lesion was typical a bronchogenic cyst.

[Cyst in the second branchial cleft: review of 3 cases]. / Quiste del segundo arco branquial: a propósito de tres casos.

Three cases of cysts arising from the second branchial cleft are described. They were completely removed. Histopathological examination revealed that cysts were lined with columnar (respiratory type) epithelium. The authors take this opportunity to review the underlying pathogenic mechanism, the clinical manifestations and therapeutic procedures.

[Isolated mesenteric fibromatosis]. / Fibromatosis mesentérica aislada.

A case of isolated mesenteric fibromatosis in a forty one years-old male is reported. The patient was symptom-free and no associated disease was detected. In the course of an appendectomy, a tumor was found in the mesentery of the small bowel (jejunum). Surgical excision was performed and the patient is free of recurrence thirteen months later.